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Task Requirements, Workflow Processes and Technological Constraints in Virtual Multidisciplinary Tumour Board
Kathrin Adamietz1, Fiona Zaruchas1, Jim Krups1
1Institute for Patient Safety, University Hospital, University of Bonn, Bonn 53127, Germany.
Interdisciplinary Cardiovascular and Thoracic Surgery
|March 17, 2026
Summary
Digital multidisciplinary tumor boards face challenges with current technology, impacting collaboration and workflow. Future solutions may involve extended reality to improve cancer care decision-making.
Area of Science:
- Medical informatics
- Health services research
- Human-computer interaction
Background:
- Multidisciplinary tumor boards (MTBs) are crucial for high-quality cancer care.
- Digitalization of MTBs enhances collaboration but introduces visualization and interaction challenges.
Purpose of the Study:
- Investigate tasks and requirements for videoconference MTBs.
- Examine technology's impact on workflow and teamwork.
- Explore needs for future extended-reality (XR) supported MTBs.
Main Methods:
- Cognitive task analysis including standardized observations and semi-structured interviews.
- Assessment of tasks, requirements, workflow interruptions, teamwork, and usability.
- Quantitative and qualitative content analysis of observational and interview data.
Main Results:
- Observed 5 videoconference MTBs (146 cases), interviewed 7 clinicians.
- Identified frequent disruptions (connectivity, imaging, audio) hindering collaboration.
- Clinicians expressed need for augmented-reality (AR) facilitated tumor boards.
Conclusions:
- Current communication tools for MTBs have limitations affecting workflow and teamwork.
- Identified a research gap regarding technology's impact on MTB clinical workflow.
- Highlighted opportunities for XR-supported MTBs to enhance cancer care decision-making.
